|
KMID : 1144020200160020075
|
|
Journal of Korean Association for Disability and Oral Health
2020 Volume.16 No. 2 p.75 ~ p.79
|
|
|
Dental management of a child with Arnold-Chiari malformation: A case report
|
|
Jo Sang-Mi
Lee Ko-Eun
Nam Ok-Hyung
Lee Hyo-Seol
Choi Sung-Chul
Kim Kwang-Chul
Kim Mi-Sun
|
|
|
Abstract
|
|
|
|
Arnold-Chiari malformation is a displacement of the tonsils and posterior vermis of the cerebellum through the foramen magnum, compressing the spinomedullary junction. The most common presenting symptoms are headache, cervical pain, back pain, motor weakness, loss of balance, dysphasia, tinnitus, and dysarthria. Other less common symptoms include seizure, obstructive sleep apnea, deafness, numbness of the face, and cranial malformation. In the present case, an 11-year-old female was referred to Department of Pediatric Dentistry at Kyung Hee University Hospital by an ophthalmologist for dental caries on the molars. The patient was diagnosed with Arnold-Chiari malformation. She underwent posterior fossa decompression and cranioclasty at seven years of age. Clinical examination showed poor oral hygiene and dental caries on the maxillary right first molar and mandibular left first molar. Given the patient’s behavior problem, cavity treatment and prophylaxis were performed under conscious sedation for about 1h with nitrous oxide inhalation and midazolam intramuscular administration. In addition, continuous follow-up checks were carried out with periodic prophylaxis for the prevention of dental caries and gingivitis. As the syndrome involves many different medical problems, special care should be considered. Additionally, dental treatment should be carried out in a comprehensive consultation system.
|
|
|
KEYWORD
|
|
|
Arnold-Chiari malformation, Midazolam, Paradoxical reaction
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|